Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $85.96 / $85.96	Professional		$82.93	$85.96	$85.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $104.90 / $104.90	Professional		$104.90	$104.90	$104.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $116.78 / $172.96	Professional		$79.81	$116.78	$172.96
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $143.97	Professional		$136.47	$136.47	$143.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $92.59 / $92.59	Professional		$92.59	$92.59	$92.59